NPI | 1942736053 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036162835) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IL 036162835) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036162835) | |
Enumeration Date | 2017-05-10 |
Last Update Date | 2023-11-28 |